This is an upper body massage treatment that incorporates both cups and manual massage. It is designed to loosen extremely tight muscles and breaking up stagnation in the tissue. Cups are applied to the skin with suction creating a pressure that the skin and superficial muscle layer is drawn into and held in the cup. Some of these cups are moved along the surface of the skin and a certain amount of marks are expected as the vacuum brings blood to the surface of the skin. This treatment is not recommended for those who are opposed to the appearance of bruising.